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4 ADHD Skills That Actually Work

4 ADHD Skills That Actually Work

If you have ADHD, you know that finding the right set of tools and techniques that work for you can be a process of trial and error. What works for you might be the opposite of helpful for someone else. Below you’ll find a few techniques to try that go beyond the traditional productivity tips.  

 

Body doubling:

Have you ever struggled to complete a task when you’re by yourself, but have no problem doing it once someone else is there? This is known as body doubling; completing a task in the presence of someone else. If you have a task you’ve been dreading, putting off, or half-completing, try video chatting a friend and let them know your task. You can also try body doubling online with other folks looking for the same assistance. Check out https://bodydoubling.com/!

O.H.I.O.

An acronym for “only handle it once”, this is a helpful tool for managing the clutter and organizational challenges that many people with ADHD deal with. Often, when we take something out (for example, a box of cereal), that item gets left on the counter as we move on to the next step of the task (milk, spoon, eat). When keeping O.H.I.O in mind, the idea is that the cereal box is dealt with prior to moving on to the next part of the task so you are only handling (literally and figuratively) it once vs. twice (taking it out, and then later cleaning up from the task). While this does immediately reduce clutter, the more importance aid here is in reducing yoru overall mental load. Completing the task in the moment means it’s one less thing for you to have to remember later on, and keeps your space more functional for other tasks. 

 

Labeling

Another organizational technique is the ever-classic labeling system. This might sound trite, but labeling is another tool to reduce your mental load. Neurotypical brains aren’t typically burdened by remembering which cabinet the strainer goes into, if the tape is put with the gift wrap or the office supplies, and where you put that important reminder card from the doctor. Brains with ADHD tend to forget these things and have to make an in-the-moment decision rather than an automated one. On the back end, that means we spend more time looking for things, sometimes even spending unnecessary money or time replacing things that appear to be lost. Labeling (even things that seem silly or you swear you’ll remember where they go) automates that process, saving you mental energy, time, and even money!

 

Novelty

ADHD brains love novelty, it’s one of the ways we can trigger a dopamine release. While it would be great to be able to lean on this for every task, inevitably we all have repetitive tasks. Introducing novelty is sometimes as simple as a new location (take it outside or go to a new coffee shop you’ve never been to before), listening to new music, making yourself a new drink or snack, or even just changing the lighting or ambience in your home environment. Novelty is an ever-moving target, so these new things will lose their effect at some point, but once you have the framework for what feels novel and interesting to your brain, you’ll know what to switch up to keep it engaging!

 

At Star Meadow Counseling, Alissa Loncar is our resident ADHD specialist.

 

 

 

4 ADHD Skills That Actually Work

4 ADHD Skills That Actually Work

If you have ADHD, you know that finding the right set of tools and techniques that work for you can be a process of trial and error. What works for you might be the opposite of helpful for someone else. Below you’ll find a few techniques to try that go beyond the...

What to Expect in Your First Counseling Session

What to Expect in Your First Counseling Session

So you made the decision to start therapy. You sorted through lists of available therapists, found Star Meadow, and made an appointment. Congratulations! This is the hardest step, and we’re so proud of you for taking it. For most people who have never been to therapy there is some anxiety about what happens next, so let’s walk through what you can expect.

 

  • Paperwork

Before your appointment, you’ll be sent electronic intake paperwork through a secure platform called Simple Practice. You’ll receive information about informed consent for treatment, your therapist’s privacy policy, financial disclosures, etc. While it might be tempting to breeze through these kinds of documents, please slow down and read them thoroughly! Many of the questions you might have will be answered here, and your therapist will provide space to go over anything you want to discuss further. 

 

You’ll also receive some questionnaires and survey forms. Just like when you go to the doctor’s office, these forms are standardized for everyone so there may be questions that don’t seem relevant to you or why you’re coming in.  There is so much more to you than what we can fit on these intake documents, but they are a good starting place so your therapist knows what things might be important to talk about in your intake session.

 

  • Arriving For Your Appointment

If your appointment is in-person, you will make your way to our office (10000 NE 7th Ave. Suite 403, Vancouver, WA 98685). We have free parking, and you’ll take either the stairs or elevator to the 4th floor. Inside our waiting room, you’ll take a seat until your therapist comes to call you back to their room. 

 

If your appointment is via telehealth, you’ll receive a link from Simple Practice letting you know it’s time to join your appointment. Make sure you’re in a private, comfortable space with your ID handy. Your therapist will ask you to confirm your identity and that no one else is present in the room, and then you’ll get started!

 

  • The Intake Appointment

You made it! If meeting in person, your therapist’s office will have several different seating options; please sit where you feel most comfortable! The beginning of every intake session includes a few more administrative tasks like confirming your insurance details and signing any remaining consent or release forms. The intake process varies between clinicians, but generally, you can expect an introduction and orientation to how they structure their intake sessions, and then an open invitation to let them know what brings you to therapy. If you don’t feel like you know how to sum things up, that’s ok! We’re trained to help guide you, and we will go at your pace. Many therapists ask a series of questions to explore things that might be contributing to how you’re feeling like your family/relationship dynamics, medical history, work or school history, and past experiences. Please know that at any point if you are not comfortable discussing something, it is absolutely appropriate to let your therapist know this. Their goal is to understand what’s happening for you to help you feel better as quickly as possible, but always at your pace. 

 

  • What Happens Next

Some therapists start planning structured goals and identifying a treatment plan right away, while others prefer to set broad goals for now with the idea of defining them as they get to know you more. If you are using insurance, your therapist is required to list a diagnosis. This is what tells insurance to authorize covering your sessions.  Sometimes that is clear in a first session, and sometimes they need to list a more general diagnosis, to be more clearly defined once they work with you more. Please remember that your medical information (which includes mental health documents) is confidential and covered by HIPAA. For more information on this please visit: https://www.hhs.gov/sites/default/files/hipaa-privacy-rule-and-sharing-info-related-to-mental-health.pdf

 

The intake session can feel like a lot of information, but most folks find the second session to be more representative of what therapy with your provider will look like. If at any point you are feeling uncomfortable, want to slow down, or need something different please say so! Therapy is intended to be a collaborative process, and your therapist will be open to feedback about what you need. 

 

 

 

 

Why I Think “Worthless” Isn’t a Feeling AND Why that Matters

Why I Think “Worthless” Isn’t a Feeling AND Why that Matters

Have you ever been so dejected or depressed that you began to question your worth as a person? What triggered that moment for you? Was it:

  • A rejection, break-up, or abandonment?
  • A harsh word or critique that hit like an arrow in the heart?
  • A failure to live up to your own expectations?
  • Feeling in over your head, burned out, or unable to perform?
  • Something else?

As counselors, we often hear clients describe their feeling during these moments as “worthless.” It’s as if some lack of performing, achieving, belonging, or approval could strip away a person’s value as a human, leaving them with a sense of emptiness.

Do you have a sense of self-worth that goes up and down? A conditional self-worth that is dependant on being liked or on your achievements? As you’ve perhaps experienced, having a conditional self-worth can be risky:

  • Perhaps you overwork, overachieve, and compulsively climb ladders trying to prove yourself. Do ever really reach the finish line or are you stuck on a hamster wheel constantly striving? Does that cost you time with your family or friends? If a setback occurs, do you name yourself “failure” and pay a cost with anxiety, depression, or a suicidal urge?
  • Perhaps you base self-worth on the condition of others’ approval (which can go up or down). Do you have a good or bad day depending on if someone else’s reactions to you? Does that ever lead you to over-committing or people-pleasing? Do you hold back, minimizing your voice in relationships? If a subtle rejection occurs, do you notice yourself having a big emotional response?

Perfectionism is the embodiment of achievement-oriented or approval-oriented self worth. Brene Brown describes perfectionism and its cost best:

“Perfectionism is not the same thing has striving to be your best. Perfectionism is not about healthy achievement and growth. Perfectionism is the belief that if we live perfet, look perfect, and act perfect, we can minimize or avoid the pain of blame, judgment, and shame. It’s a shield. Perfectionism is a twenty-ton shield that we lug around thinking it will protect us when, in fact, it’s the thing that’s really preventing us from taking flight.”

-Brene Brown, The Gifts of Imperfection

It’s time to change how we think about WORTH. What if you could experience a form of self-worth that did not ebb and flow with your achievement or approval? Would you step off of the “conditional self-worth” rollercoaster? Wouldn’t it be amazing to experience security in your self-worth despite successes or failures!

I want to suggest two key strategies for revolutionizing your experience of self-worth.

  1. Clarify what you really feel when you say you feel “WORTHLESS.”

I want to suggest that “WORTHLESS” is a judgment NOT a feeling. It’s a proclamation of subjective self-assessment. It is more thought than it is emotion. These judgments are similarly not feelings:

  • Bad
  • Failure
  • Fat
  • Ugly
  • Stupid
  • Crazy

But, you might argue, “I DO feel strongly when I have those thoughts!” YES! A distorted negative self-evaluation would certainly evoke a strong feeling! Let’s see if we can clarify what you are really feeling in those moments. Perhaps one of these feeling words would more accurately describe the emotion that goes with that thought:

  • Disappointment
  • Shame
  • Sadness
  • Anger
  • Fear
  • Worry
  • Guilt

This perspective shifting skill is essential: Instead of going along with the “I’m worthless” judgment, NAME WHAT YOU’RE FEELING and WHY.

For example: “I’m feeling ashamed because I yelled at my kids.” “I am feeling afraid because I lost my job.” “I am feeling sad because she broke up with me.”

2. REDEFINE WORTH.

The striking reality is that there is no standard measurement of WORTH. There is not a test you can take, a medal you can earn, or a status you must reach. The concept of what defines self-worth is unscientific, self-determined, and deeply personal. YOU HAVE THE POWER to change your self-assessment.

What if you were to intentionally choose to believe WORTH is a birthright, something inherent in your humanness? I think that’s what the founders of our country believed when they wrote these words in the Declaration of Independence:

“We hold these Truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable rights, that among these are Life, Liberty, and the Pursuit of Happiness.”

WORTH does not have to be conditional. You can found your self-worth on the powerful certainty that you have sustaining value that can not be earned nor lost.


HYPOCRICY CHECK: Do you apply unconditional worth to other people better than to yourself?  For example, if you’re a parent, your child might make choices that make you lose their trust, but could they ever lose worth in your eyes? Never! You might already believe in unconditional self-worth, as it applies to others. Are you applying the same concept to yourself? If not, now’s the time. Take the leap of faith. It’s worth it!

Now, if we combine the name-your-feelings skill with the concept of unconditional self-worth, you can see how it’s possible to make mistakes, have setbacks, and receive rejection without it meaning anything at all about your worth as a human.

If you’d like help building a secure sense of self-worth (or overcoming your achievement- or approval-oriented perfectionism), a therapist at Star Meadow Counseling may be available to help.

Also check out behavioral strategies for shifting out of worthless thoughts in our latest blog: “How to Disobey ‘Worthless’ Thoughts.” 

 

 

4 ADHD Skills That Actually Work

4 ADHD Skills That Actually Work

If you have ADHD, you know that finding the right set of tools and techniques that work for you can be a process of trial and error. What works for you might be the opposite of helpful for someone else. Below you’ll find a few techniques to try that go beyond the...